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Please complete and return to:New York State Department of Health Wadsworth Center Environmental Laboratory Approval Program PO BOX 509 Empire State Plaza Albany, NY 122010509 Phone: (518) 4855570
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What is form 109 - wadsworth?
Form 109 - wadsworth is a tax form used to report payments made to independent contractors.
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Form 109 - wadsworth must include the payer's name, address, tax ID number, recipient's name, address, tax ID number, payment amount, and any applicable deductions.
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